Inspection Reports for
Edencrest at The Legacy

2901 Cedar St, Norwalk, IA 50211, United States, IA, 50211

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7 Reports

2021–2026

Inspection Report — Jun 25, 2026

Date: Jun 25, 2026

Visit Reason
Investigation of Incident #131453-I.

Complaint Details
Incident #131453-I
Findings
No regulatory insufficiencies were cited during the investigation of Incident #131453-I.

Inspection Report — Oct 1, 2025

Complaint Investigation
Date: Oct 1, 2025

Visit Reason
Investigation of Complaint #129026-C and Incident #130128-I at the assisted living facility.

Complaint Details
Investigation of Complaint #129026-C and Incident #130128-I found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation.

Report Facts
Tenants without cognitive impairment: 20 Tenants with cognitive impairment: 8

Inspection Report — May 13, 2025

Renewal
Date: May 13, 2025

Visit Reason
The visit was conducted as a recertification inspection to determine compliance with certification rules for an Assisted Living Program.

Findings
No regulatory insufficiencies were cited during the investigation of Incident #125606-I or during the recertification visit.

Report Facts
Number of tenants without cognitive impairment: 17 Number of tenants with cognitive impairment: 13

Inspection Report — Jun 17, 2024

Complaint Investigation
Date: Jun 17, 2024

Visit Reason
The inspection was conducted to investigate Complaint #117491-C and Incident #116476-I at Edencrest at the Legacy, an assisted living program for people with dementia.

Complaint Details
The complaint investigation found regulatory insufficiencies related to missing incident reports and inadequate door alarm systems. The incident investigation found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were found related to Incident #116476-I. However, deficiencies were cited for failure to retain incident reports on premises for at least three years and failure to consistently ensure an operating door alarm on each exit door in the dementia-specific program.

Violations (2)
Failure to retain incident reports on premises for at least three years for 2 of 2 tenants reviewed (Tenants #1 and #2).
Failure to consistently ensure an operating door alarm on each exit door, potentially affecting 9 of 9 tenants with a Global Deterioration Scale score of four or more.
Report Facts
Number of tenants without cognitive impairment: 19 Number of tenants with cognitive impairment: 9 Tenants reviewed for incident report retention: 2 Tenants potentially affected by door alarm deficiency: 9

Inspection Report — Jun 15, 2023

Complaint Investigation
Date: Jun 15, 2023

Visit Reason
Investigation of Complaints #109183-C, #109335-C, and #112371-C at the Assisted Living Program for People with Dementia.

Complaint Details
Investigation of Complaints #109183-C, #109335-C, and #112371-C found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of the complaints.

Report Facts
Number of tenants without cognitive disorder: 19 Number of tenants with cognitive disorder: 18

Inspection Report — Sep 8, 2022

Renewal
Date: Sep 8, 2022

Visit Reason
A recertification visit was conducted to determine compliance with certification for an Assisted Living Program. Complaint #99784-C was also completed.

Complaint Details
Complaint #99784-C was investigated and completed with no regulatory insufficiencies cited.
Findings
No regulatory insufficiencies were cited during the recertification visit and complaint investigation.

Report Facts
Number of tenants without cognitive disorder in General Population: 24 Number of tenants with cognitive disorder in General Population: 6 Number of tenants without cognitive disorder in Memory Care Unit: 0 Number of tenants with cognitive disorder in Memory Care Unit: 10

Inspection Report — Nov 18, 2021

Complaint Investigation
Date: Nov 18, 2021

Visit Reason
The inspection was conducted as a complaint investigation related to complaints #92413-C, #96020-C, and #92806-C concerning staffing and training issues at the assisted living program.

Complaint Details
Complaints #92413-C, #96020-C, and #92806-C were investigated. The investigation dates were from 7/12/21 to 11/18/21. The complaint was substantiated as the program did not provide training documentation for contract staff and failed to ensure appropriate training.
Findings
The program failed to consistently ensure all personnel, including contract/agency staff, received appropriate training to meet tenant needs. This affected 41 tenants and was documented by lack of training records for at least 20 contract staff.

Violations (1)
The program failed to ensure all personnel employed or contracting with the program received appropriate training for assigned tasks and target population.
Report Facts
Number of tenants: 40 Number of tenants affected: 41 Number of contract staff without training documentation: 20

Employees mentioned
NameTitleContext
Shannon GilesDirectorSigned the Plan of Correction submitted for staffing deficiency

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